Podcast 848: Non-Traditional RSI

<p dir="ltr"><strong>Contributor:</strong> Meghan Hurley, MD</p> <p dir="ltr"><strong>Educational Pearls: </strong></p> <ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Two main reasons to choose non-traditional RSI</p> </li> <ul> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Anatomically challenging airway</p> </li> <li dir="ltr" aria-level="2"> <p dir="ltr" role="presentation">Physiologically difficult patients: hypoxia, metabolic acidosis, hemodynamic instability</p> </li> </ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Ketamine may help patients remain hemodynamically stable</p> </li> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">In critical patients, it is important to consider non-traditional RSI medications to improve outcomes</p> </li> </ul> <p dir="ltr"><strong>References</strong></p> <p dir="ltr">1. Lyon RM, Perkins ZB, Chatterjee D, Lockey DJ, Russell MQ. Significant modification of traditional rapid sequence induction improves safety and effectiveness of pre-hospital trauma anaesthesia. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0872-2</p> <p dir="ltr">2. Merelman AH, Perlmutter MC, Strayer RJ. Alternatives to rapid sequence intubation: Contemporary airway management with ketamine. West J Emerg Med. 2019;20(3):466-471. doi:10.5811/westjem.2019.4.42753</p> <p><strong> </strong></p> <p dir="ltr"><em>Summarized by Jorge Chalit, OMS1 | Edited by Meg Joyce</em></p>